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General NPI Number Information
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NPI Number | 1194306217
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Entity Type | Individual
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Provider Name | DANIELLE SPEARS MSW LISW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 2850 WINSLOW AVE
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City | CINCINNATI
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State | OH
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Zip | 45206-1169
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Country | US
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Telephone | 513-803-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 4024 JAMESTOWN ST # 2
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City | CINCINNATI
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State | OH
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Zip | 45205-1602
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Country | US
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Telephone | 513-250-9351
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2102788
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License Number State | OH
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